HomeMy WebLinkAboutFilled land AffDocuSign Envelope ID: D94C1B68-2687-4A1D-9C07-C7AC828DB35E
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 vIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1407-343-0010-000-9
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number _, I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
KENNETH AND LYNN BROWN
¢}tuner Name (Please Print)
�-fkvelA ary U4W 15MN 31 a a) as a
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Property caner SiEmature Date
STATE OF FLORIDA, COUNTY OF rP Arz-(= Al
ACKNOWLEDGED BEFORE ME THIS a a _ - )AY oP _-A&-A4k614 _ - _ _ _ .20 a I ,
BY 6LAALfi-, a4 j L AjOu w�; _UIfOIS PERSON 4LLY KNOWV 10 MO Ei0) R WHO HAS
PRODUCED D L _ _. _ AS IDENTIFICATION.
Kerry A. Sisson
—
SIG `ATIiRE OF 'SOT.4RY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
Z
Notary Put*c State orKerry A SissonMy Commissm GG 950211
Expirea 01/222024
SF(PI)SD Rcvi,cd 04,11/2011